Information Required to File a Claim

• Social Security Number *
• Home address, mailing address (if different than your home address) and telephone number
• Alien registration number, if you aren't a U.S. citizen or national
• DD Form 214, if you were on active duty in the U.S. military during the last two years
• Information from Standard Form 8, Standard Form 50, W-2s and or pay stubs, if you worked for the federal government in the last 18 months.

• Name of your last employer, or the employer where you're currently working less hours
• Complete mailing address of your last employer (name, street address, city, state, Zip Code)
• Date you started working for that employer
• Date of the last day you worked for the employer
• Reason you left, or the reason you are working less hours

• Names of all employers where you worked in the last 18 months (name, street address, city, state, Zip Code)
• Start and end dates for all employers where you worked in the last 18 months
• Wages you earned for all employers where you worked in the last 18 months, and how you were paid (hourly, weekly, monthly)

• Bank name, street address, city, state and Zip Code.
• Bank telephone number
• Bank account number
• Bank account routing number